Individual
KENDRA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
112 MELLON ST, BECKLEY, WV 25801-3536
(304) 255-5263
Mailing address
111 RED FOX RUN, DANIELS, WV 25832-9746
(304) 890-4122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000989
WV
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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